Locked Bag 7834 Canberra Bc, ACT 2610
CLK1LETTERB297170382
Reference: 603 432 174V
Miss Sheralie Shadforth
8 Clabon St
HILLCREST QLD 4118
4 December 2023
This Income Statement shows information we hold about you on your Centrelink record. If you
decide to show this information to anyone else for any reason, you can choose to show all the
information or to block some information out.
Income Statement
DOB 2 Apr 1977
Customer Partnered N
Maximum Rate JobSeeker Payment Y
Number of Children Assessed 0
Previous regular entitlements and payments
Payment Type Amount Date Paid Date of Grant
JobSeeker Payment $734.82 29 Nov 2023 14 Jun 2022
Energy Supplement $8.80 29 Nov 2023 14 Jun 2022
GST Component $14.38 29 Nov 2023 14 Jun 2022
Rent Assistance $105.60 29 Nov 2023 14 Jun 2022
Previous irregular payments
There are no previous irregular payments to report.
Deductions from your payment
Payment Type Deduction Amount Date Paid
JobSeeker Payment Child Support Deduction $18.90 29 Nov 2023
JobSeeker Payment Centrepay Deductions $70.00 29 Nov 2023
JobSeeker Payment Debt Repayment $15.00 29 Nov 2023
Continued on the back
If you have any questions about this letter please ring: Your local Centrelink Office:
95 Brisbane Road
132 850 OR Biggera Waters 4216
13 1202 for Multilingual Services
Monday — Friday 8.00 am — 5.00 pm Office Hours:
(Please quote reference number 603 432 174V ) Monday to Friday 8:30am to 4:30pm
1/1-1 [Link]
Continued from previous page
Future regular entitlements and payments
Payment Type Amount Date to be paid Date of Grant
JobSeeker Payment $734.82 13 Dec 2023 14 Jun 2022
Energy Supplement $8.80 13 Dec 2023 14 Jun 2022
GST Component $14.38 13 Dec 2023 14 Jun 2022
Future irregular payments
There are no future irregular payments to report.
Details of your Income (Not including Centrelink payments)
Income Type Amount Frequency Date of Effect
Financial Investment Income $0.08 Annually 27 May 2023
Details of your Assets
Asset Type Value Date of Effect
Cash/Investments/Savings $34.00 1 Jul 2023
Household and Personal Effects $5.00 22 Jan 2014
Motor Vehicle, Boat and Caravan $2,500.00 27 May 2023
If any of the above details are incorrect, please contact us as soon as possible.
Your reference number is 603 432 174V.
231204 BCH - 0 1 BL- 2